Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Facility		$4.00	$4.00	$4.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.60 / $11.60 / $52.52	Facility		$11.60	$11.60	$52.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.67 / $0.67 / $12.16	Professional		$0.67	$0.67	$12.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $27.80 / $47.58	Professional		$18.34	$27.80	$47.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $3.24	Professional		$3.24	$3.24	$3.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $8.00 / $283.26	Professional		$7.00	$8.00	$283.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $100.00 / $100.00	Facility		$90.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $6.87 / $6.87	Professional		$6.87	$6.87	$6.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $70.00 / $85.00	Professional		$60.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $5.74	Facility		$4.00	$4.00	$5.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $7.19	Professional		$3.24	$3.24	$7.19
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $8.42 / $45.00	Professional		$8.42	$8.42	$45.00